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目的:研究在肿瘤内科外周静脉穿刺中心静脉置管术安全管理中应用综合护理干预的临床效果。方法:根据不同护理方法将2016年7月至2017年7月期间我院肿瘤内科收治的108例行外周静脉穿刺中心静脉置管术患者分为两组,即综合护理干预组(n=54)与常规护理干预组(n=54),对综合护理干预组研究对象实施综合护理干预,对常规护理干预组实施常规护理干预。结果:常规护理干预组肿瘤患者的非计划性拔管发生率(16.67%)与综合护理干预组(3.70%)相比,存在较大差异,统计学意义存在(P<0.05);且前者并发症发生率(14.81%)与后者(3.70%)相比,差异显著。结论:将综合护理干预应用于肿瘤内科PICC安全管理中能够获得较为理想的效果,降低了患者术后并发症发生率和非计划性拔管发生率,值得临床应用及普及。
Objective: To study the clinical effect of comprehensive nursing intervention in the safety management of central venous catheterization for peripheral venous puncture in oncology. Methods: According to different nursing methods, 108 patients who underwent central venous catheterization during the period from July 2016 to July 2017 in our department of oncology were divided into two groups: comprehensive nursing intervention group (n = 54) And general nursing intervention group (n = 54). The comprehensive nursing intervention was conducted on the subjects in the comprehensive nursing intervention group and the routine nursing intervention on the conventional nursing intervention group. Results: The incidence of unplanned extubation (16.67%) in the conventional nursing intervention group was significantly different from that in the comprehensive nursing intervention group (3.70%), with statistical significance (P <0.05) The incidence of disease (14.81%) was significantly different from the latter (3.70%). Conclusion: The comprehensive nursing intervention can be used in oncology PICC safety management to achieve better results, reduce the incidence of postoperative complications and unplanned extubation, which is worthy of clinical application and popularity.